Table 1.
Summary of Clinical and Laboratory Features of Patients With Common Variable Immunodeficiency and Outcome of Vaccination
CVID patient number | Sex | Age | Years since diagnosis | Lymphocyte counts | Lymphocyte subsets | Comorbidities | Latest serum immunoglobulin assessmenta | Type of vaccine | Preimmunization anti–SARS-CoV-2 (antispike) antibodies | Postimmunization anti–SARS-CoV-2 (antispike) antibodies | Adverse effects after first vaccine dose | Adverse effects after second vaccine dose |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | F | 58 | 9 | Normal | Normal | Obesity, hypertension, thyroid nodule | IgG, 832 mg/dL IgA, 6 mg/dL IgM, 9 mg/dL |
Pfizer-BioNTech | Absent | 8.68 BAU/mL | Pain at injection site, diffuse myalgias, headache, fatigue | Pain at injection site |
2 | F | 54 | 19 | Normal | Normal | None | IgG, 777 mg/dL IgA, 2 mg/dL IgM, 2 mg/dL |
Moderna | Absent | 812.90 BAU/mL | Pain at injection site | Low-grade fever, myalgias, headache, fatigue |
3 | F | 63 | 1 | Mild lymphopenia (1060/μL) | Normal | Celiac disease, osteoporosis with vertebral fractures | IgG, 665 mg/dL IgA, 14 mg/dL IgM, 6 mg/dL |
Pfizer-BioNTech | Absent | 212.7 BAU/mL | Pain at injection site | Pain at injection site |
4 | M | 45 | 12 | Normal | Normal | None | IgG, 721 mg/dL IgA, 3 mg/dL IgM, 2 mg/dL |
Pfizer-BioNTech | 160 BAU/mL | 10185 BAU/mL | Headache | Pain at injection site |
5 | F | 37 | 6 | Normal | CD19 B cells <1%b | Bronchiectasis, liver nodular lymphoid hyperplasia | IgG, 515 mg/dL IgA, 2 mg/dL IgM, 1 mg/dL |
Pfizer-BioNTech | Absent | Absent | Pain at injection site, headache, myalgias, chills | Pain at injection site |
Abbreviations: BAU, binding arbitrary unit, according to the World Health Organization international standard (<1, negative; >1, positive); CVID, common variable immunodeficiency; ECLIA, electrochemiluminescence immunoassay; F, female; Ig, immunoglobulin; M, male.
NOTE. Antibodies were detected by ECLIA.
Normal values for serum immunoglobulin isotypes were as follows: IgG, 700 to 1600 mg/dL; IgA, 70 to 400 mg/dL; IgM, 40 to 230 mg/dL.
Normal B-cell frequencies: 6% to 20%.